مطالعات روان‌شناسی بالینی

شماره جاری

بر اساس شماره‌های نشریه

بر اساس نویسندگان

بر اساس موضوعات

نمایه نویسندگان

نمایه کلیدواژه ها

درباره نشریه

اهداف و چشم انداز

اصول اخلاقی انتشار مقاله

بانک ها و نمایه نامه ها

پیوندهای مفید

پرسش‌های متداول

فرایند پذیرش مقالات

اطلاعات آماری نشریه

اخبار و اعلانات

داوران 1399

داوران 1400

Development, validation, and evaluation of a group CBT+CRT-based manual for adults with major depressive disorder

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشگاه علامه طباطبایی

2 هیئت علمی دانشگاه علامه طباطبایی

3 گروه روانشناسی، دانشکده روانشناسی و علوم تربیتی، دانشگاه علامه طباطبائی، تهران، ایران

4 استاد گروه بالینی روانشناسی، دانشکده روانشناسی و علوم تربیتی، علامه طباطبایی دانشگاه، تهران، ایران

چکیده

Methods This research was administered in three stages. First, a psycho-cognitive remediation treatment manual was developed based on the most reliable existing treatments: Cognitive Behavior Therapy (CBT) and Cognitive Remediation Therapy (CRT). In the second stage, the content validity of the manual was evaluated by 8 experts. Finally, the effectiveness of the developed treatment was evaluated by the quasi-experimental method with an active control group, pretest-posttest follow-up design. 28 adults aged 24-45 years who had been diagnosed with MDD were purposefully selected and assigned to one of the two experimental or control groups. The experimental group participated in 12 two-hour weekly sessions and the control group played video games at home. The Beck Depression Inventory-Second Edition (BDI-II) and the THINC-it tools as neuropsychological tests were used for gathering data. Only 25 patients remained in the study at week 12. To statistically analyze the data, One-way analysis of covariance was used (SPSS 26).
Results Data analysis showed that depression and anhedonia were significantly lower at the post-test compared to the pre-test, according to the BDI-II and SHAPS scores. All objective and subjective cognitive functions were significantly improved. Follow-up scores remained significantly constant in the tests that had improved in the post-test which indicates the stability of therapeutic effects in the three-month follow-up.
Conclusion This is the first study to evaluate two validated combined therapies in adults with MDD, as far as the authors are aware. It was evaluated based on feasibility, acceptability, and effectiveness. It is suggested that clinicians use these combined treatments in the field of clinical practice. Although this treatment manual had a good effect, some of its limitations must be addressed in future research.

کلیدواژه‌ها

عنوان مقاله [English]

Development, validation, and evaluation of a group CBT+CRT-based manual for adults with major depressive disorder

نویسندگان [English]

  • Yousof Khodabandeloo 1
  • Faramarz Sohrabi 1
  • Ahmad Borjali 2
  • Abolghasem Isamorad 3
  • Abdollah Motamedi 4

1 Allameh Tabataba'i University

2 Faculty of Allameh Tabataba'i University

3 Associate Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Allameh Tabataba’i University, Tehran, Iran

4 Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Allameh Tabataba’i University, Tehran, Iran

چکیده [English]

Methods This research was administered in three stages. First, a psycho-cognitive remediation treatment manual was developed based on the most reliable existing treatments: Cognitive Behavior Therapy (CBT) and Cognitive Remediation Therapy (CRT). In the second stage, the content validity of the manual was evaluated by 8 experts. Finally, the effectiveness of the developed treatment was evaluated by the quasi-experimental method with an active control group, pretest-posttest follow-up design. 28 adults aged 24-45 years who had been diagnosed with MDD were purposefully selected and assigned to one of the two experimental or control groups. The experimental group participated in 12 two-hour weekly sessions and the control group played video games at home. The Beck Depression Inventory-Second Edition (BDI-II) and the THINC-it tools as neuropsychological tests were used for gathering data. Only 25 patients remained in the study at week 12. To statistically analyze the data, One-way analysis of covariance was used (SPSS 26).
Results Data analysis showed that depression and anhedonia were significantly lower at the post-test compared to the pre-test, according to the BDI-II and SHAPS scores. All objective and subjective cognitive functions were significantly improved. Follow-up scores remained significantly constant in the tests that had improved in the post-test which indicates the stability of therapeutic effects in the three-month follow-up.
Conclusion This is the first study to evaluate two validated combined therapies in adults with MDD, as far as the authors are aware. It was evaluated based on feasibility, acceptability, and effectiveness. It is suggested that clinicians use these combined treatments in the field of clinical practice. Although this treatment manual had a good effect, some of its limitations must be addressed in future research.

کلیدواژه‌ها [English]

  • Major Depressive Disorder
  • Cognitive Behavior Therapy
  • Cognitive Remediation
  • Cognitive Dysfunction
مراجع
Ahern, E., Bockting, C. L. H., and Semkovska, M. (2019). A hot-cold cognitive model of depression: integrating the neuropsychological approach into the cognitive theory framework. Clin. Psychol. Eur. 1, 1–35. doi:10.32872/cpe.v1i3.34396
Allott, K., Fisher, C. A., Amminger, G. P., Goodall, J., & Hetrick, S. (2016). Characterizing neurocognitive impairment in young people with major depression: state, trait, or scar? Brain and behavior, 6(10), e00527. https://doi.org/10.1002/brb3.527
Alsayednasser, B., Widnall, E., O'Mahen, H., Wright, K., Warren, F., Ladwa, A., Khazanov, G. K., Byford, S., Kuyken, W., Watkins, E., Ekers, D., Reed, N., Fletcher, E., McMillan, D., Farrand, P., Richards, D., & Dunn, B. D. (2022). How well do Cognitive Behavioural Therapy and Behavioural Activation for depression repair anhedonia? A secondary analysis of the COBRA randomized controlled trial. Behaviour research and therapy, 159, 104185. https://doi.org/10.1016/j.brat.2022.104185
Beats, B. C., Sahakian, B. J., & Levy, R. (1996). Cognitive performance in tests sensitive to frontal lobe dysfunction in the elderly depressed. Psychological medicine, 26(3), 591–603. https://doi.org/10.1017/s0033291700035662 
Beck, A. T., Steer, R. A. and Brown, G. K. (1996). Beck depression inventory (2nd ed.). San Antonio, TX: The Psychological Corporation.
Bortolato, B., Miskowiak, K. W., Köhler, C. A., Maes, M., Fernandes, B. S., Berk, M., & Carvalho, A. F. (2016). Cognitive remission: a novel objective for the treatment of major depression? BMC Medicine, 14(1). doi:10.1186/s12916-016-0560-3
Buckman, J. E. J., Underwood, A., Clarke, K., Saunders, R., Hollon, S. D., Fearon, P., & Pilling, S. (2018). Risk factors for relapse and recurrence of depression in adults and how they operate: A four-phase systematic review and meta-synthesis. Clinical Psychology Review, 64, 13–38. doi:10.1016/j.cpr.2018.07.005
Clay, G., Mlynski, C., Korb, F. M., Goschke, T., & Job, V. (2022). Rewarding cognitive effort increases the intrinsic value of mental labor. PNAS Proceedings of the National Academy of Sciences of the United States of America, 119(5), 1–8. https://doi.org/10.1073/pnas.2111785119
Colwell, M. J., Tagomori, H., Chapman, S., Gillespie, A. L., Cowen, P. J., Harmer, C. J., & Murphy, S. E. (2022). Pharmacological targeting of cognitive impairment in depression: recent developments and challenges in human clinical research. Translational psychiatry, 12(1), 484. https://doi.org/10.1038/s41398-022-02249-6
Dong, L., Zieve, G., Gumport, N. B., Armstrong, C. C., Alvarado-Martinez, C. G., Martinez, A., Howlett, S., Fine, E., Tran, M., McNamara, M. E., Weaver, C., Tuck, A. B., Hilmoe, H. E., Agnew, E., Fisher, K., Diaz, M., Lee, J. Y., Hollon, S. D., Notsu, H., & Harvey, A. G. (2022). Can integrating the Memory Support Intervention into cognitive therapy improve depression outcome? A randomized controlled trial. Behaviour research and therapy, 157, 104167. https://doi.org/10.1016/j.brat.2022.104167
Douglas, K. M., Porter, R. J., & Young, A. H. (2020). Cognition in mood disorders. BJPsych open, 7(1), e16. https://doi.org/10.1192/bjo.2020.149
Dunn, B. D. (2019). Augmenting cognitive behavioral therapy to build positive mood in depression. In J. Gruber (Ed.), The Oxford handbook of positive emotion and psychopathology (pp. 539–560). Oxford University Press.
Ebrahimi, F., Farahmand, H., Jafari, E. (2018). Investigation of the reliability and validity of the Snaith-Hamilton Pleasure Scale in university students. Rooyesh-e- Ravanshenasi Journal, 7(4), 89-106. URL: http://frooyesh.ir/article-1-286-en.html
Gałecki, P., Samochowiec, J., Mikułowska, M., Szulc, A. (2022). Treatment-Resistant Depression in Poland—Epidemiology and Treatment. J. Clin. Med, 11, 480. https://doi.org/10.3390/jcm11030480
Groves, S. J., Douglas, K. M., & Porter, R. J. (2018). A Systematic Review of Cognitive Predictors of Treatment Outcome in Major Depression. Frontiers in psychiatry, 9, 382. https://doi.org/10.3389/fpsyt.2018.00382
Gutiérrez-Rojas, L., Porras-Segovia, A., Dunne, H., Andrade-González, N., & Cervilla, J. A. (2020). Prevalence and correlates of major depressive disorder: a systematic review. Revista brasileira de psiquiatria (Sao Paulo, Brazil: 1999), 42(6), 657–672. https://doi.org/10.1590/1516-4446-2020-0650
Hack, L. M., Tozzi, L., Zenteno, S., Olmsted, A. M., Hilton, R., Jubeir, J., Korgaonkar, M. S., Schatzberg, A. F., Yesavage, J. A., O'Hara, R., & Williams, L. M. (2023). A Cognitive Biotype of Depression and Symptoms, Behavior Measures, Neural Circuits, and Differential Treatment Outcomes: A Prespecified Secondary Analysis of a Randomized Clinical Trial. JAMA Network Open, 6(6), e2318411. https://doi.org/10.1001/jamanetworkopen.2023.18411
Hanuka. S., Olson, E. A., Admon, R., Webb, C. A., Killgore, W. D. S., Rauch, S. L., Rosso, I. M., Pizzagalli, D. A. (2022). Reduced anhedonia following internet-based cognitive-behavioral therapy for depression is mediated by enhanced reward circuit activation. Psychological Medicine, 1–10. https://doi.org/10.1017/S0033291722001106
Harvey, A. G., Dong, L., Lee, J. Y., Gumport, N. B., Hollon, S. D., Rabe-Hesketh, S., Hein, K., Haman, K., McNamara, M. E., Weaver, C., Martinez, A., Notsu, H., Zieve, G., & Armstrong, C. C. (2017). Can integrating the Memory Support Intervention into cognitive therapy improve depression outcome? Study protocol for a randomized controlled trial. Trials, 18(1), 539. https://doi.org/10.1186/s13063-017-2276-x
Ji, Y., Li, W., Liu, B., Liu, J., Ju, Y., Wang, M., Chen, Y., Li, L. (2020). Clinical characteristics of cognitive deficits in major depressive disorder: a 6-month prospective study. Archives of Clinical Psychiatry (São Paulo). 47. 101-105. 10.1590/0101-60830000000241.
Knight, M. J., & Baune, B. T. (2018). Cognitive dysfunction in major depressive disorder. Current opinion in psychiatry, 31(1), 26–31. https://doi.org/10.1097/YCO.0000000000000378
Kriesche, D., Woll, C. F. J., Tschentscher, N., Engel, R. R., & Karch, S. (2023). Neurocognitive deficits in depression: a systematic review of cognitive impairment in the acute and remitted state. European archives of psychiatry and clinical neuroscience, 273(5), 1105–1128. https://doi.org/10.1007/s00406-022-01479-5
Krysta, K., Krzystanek, M., Janas-Kozik, M., Klasik, A., & Krupka-Matuszczyk, I. (2015). Impact of pharmacological and psychological treatment methods of depressive and anxiety disorders on cognitive functioning. Journal of neural transmission, 122 (1), 101–110. https://doi.org/10.1007/s00702-014-1282-3
Lawshe, C. (1975). A quantitative approach to content validity. Personnel Psychology, 28(4), 563-575. http://dx.doi.org/10.1111/j.1744-6570. 1975.tb01393.x
Leahy, R. L., Holland, S. J. F., & McGinn, L. K. (2012). Treatment plans and interventions for depression and anxiety disorders, 2nd ed. Guilford Press, New York.
Levada, O. A., & Troyan, A. S. (2019). Cognitive-functional relationships in major depressive disorder: Crucial data from a Ukrainian open-label study of vortioxetine versus escitalopram. Journal of affective disorders, 250, 114–122. https://doi.org/10.1016/j.jad.2019.03.040
Martínez, A. L., Brea, J., Rico, S., de los Frailes, M. T., & Loza, M. I. (2021). Cognitive Deficit in Schizophrenia: From Etiology to Novel Treatments. International Journal of Molecular Sciences, 22(18), 9905. doi :10.3390/ijms22189905
McIntyre, R. S., & Lee, Y. (2016). Cognition in major depressive disorder: a 'Systemically Important Functional Index' (SIFI). Current opinion in psychiatry, 29(1), 48–55. https://doi.org/10.1097/YCO.0000000000000221
McIntyre, R. S., Subramaniapillai, M., Park, C., Zuckerman, H., Cao, B., Lee, Y., Iacobucci, M., Nasri, F., Fus, D., Bowie, C. R., Tran, T., Rosenblat, J. D., & Mansur, R. B. (2020). The THINC-it Tool for Cognitive Assessment and Measurement in Major Depressive Disorder: Sensitivity to Change. Frontiers in psychiatry, 11, 546. https://doi.org/10.3389/fpsyt.2020.00546
Medalia, A., Revheim, N., Herlands, T. (2009). Cognitive remediation for psychological disorders. New York: Oxford University Press.
Mohammadkhani, P., Forouzan, A., Hooshyari, Z & Abbasi, I. (2020). Psychometric Properties of Persian Version of Structured Clinical Interview for DSM-5-Research Version (SCID-5-RV): A Diagnostic Accuracy Study. Iranian Journal of Psychiatry and Behavioral Sciences, 14(2).
Mokhtari, S., Mokhtari, A., Bakizadeh, F., Moradi, A., & Shalbafan, M. (2023). Cognitive rehabilitation for improving cognitive functions and reducing the severity of depressive symptoms in adult patients with Major Depressive Disorder: a systematic review and meta-analysis of randomized controlled clinical trials. BMC psychiatry, 23(1), 77. https://doi.org/10.1186/s12888-023-04554-w
Olsen, C. K., Lophaven, S., McIntyre, R. S., et al. (2015). Clinical relevance of subjective cognitive assessment in patients with major depressive disorder. Toronto: Abstracts of the Annual Meeting of the American Psychiatric Association.
Park, K., Jaekal, E., Yoon, S., Lee, S.-H., & Choi, K.-H. (2020). Diagnostic Utility and Psychometric Properties of the Beck Depression Inventory-II Among Korean Adults. Frontiers in Psychology, 10. doi:10.3389/fpsyg.2019.02934
Parker, J. (2016). Brintellix® (Vortioxetine) - Psychopharmacologic Drugs Advisory Committee. Maryland.
Perini, G., Cotta Ramusino, M., Sinforiani, E., Bernini, S., Petrachi, R., & Costa, A. (2019). Cognitive impairment in depression: recent advances and novel treatments. Neuropsychiatric disease and treatment, 15, 1249–1258. https://doi.org/10.2147/NDT.S199746 
Porter, R. J., Bowie, C. R., Jordan, J., & Malhi, G. S. (2013). Cognitive remediation as a treatment for major depression: A rationale, review of evidence and recommendations for future research. The Australian and New Zealand journal of psychiatry, 47(12), 1165–1175. https://doi.org/10.1177/0004867413502090
Rock, P. L., Roiser, J., Riedel, W., & Blackwell, A. (2014). Cognitive impairment in depression: A systematic review and meta-analysis. Psychological Medicine, 44(10), 2029-2040. https://doi.org/10.1017/S0033291713002535
Roiser, J. P., & Sahakian, B. J. (2013). Hot and cold cognition in depression. CNS spectrums, 18(3), 139–149. https://doi.org/10.1017/S1092852913000072
Sharma, K., & Fazio, L. (2020). In adults with major depressive disorder, does group CBT relieve depression symptoms?. Evidence-Based Practice, 23(9), 29–30. doi:10.1097/ebp.0000000000000523
Shilyansky, C., Williams, L. M., Gyurak, A., Harris, A., Usherwood, T., & Etkin, A. (2016). Effect of antidepressant treatment on cognitive impairments associated with depression: A randomized longitudinal study. Lancet Psychiatry, 3(5), 425-435. doi:10.1016/S2215-0366(16)00012-2
Schmid, M., & Hammar, Å. (2021). First-Episode Patients Report Cognitive Difficulties in Executive Functioning 1 Year After Initial Episode of Major Depressive Disorder. Frontiers in psychiatry, 12, 667238. https://doi.org/10.3389/fpsyt.2021.667238
Sumiyoshi, T., Uchida, H., Watanabe, K., Oosawa, M., Ren, H., Moriguchi, Y., Fujikawa, K., Fernandez, J. (2022). Validation and Functional Relevance of the Short Form of the Perceived Deficits Questionnaire for Depression for Japanese Patients with Major Depressive Disorder. Neuropsychiatr Dis Treat, 18:2507-2517 https://doi.org/10.2147/NDT.S381647
Sumiyoshi, T., Watanabe, K., Noto, S., Sakamoto, S., Moriguchi, Y., Tan, K. H. X., … Fernandez, J. (2019). Relationship of cognitive impairment with depressive symptoms and psychosocial function in patients with major depressive disorder: cross-sectional analysis of baseline data from PERFORM-J. Journal of Affective Disorders. doi:10.1016/j.jad.2019.07.064
Taylor, C. T., Lyubomirsky, S., & Stein, M. B. (2017). Upregulating the positive affect system in anxiety and depression: Outcomes of a positive activity intervention. Depression and anxiety, 34(3), 267–280. https://doi.org/10.1002/da.22593
Thérond, A., Pezzoli, P., Abbas, M., Howard, A., Bowie, C. R., & Guimond, S. (2021). The Efficacy of Cognitive Remediation in Depression: A Systematic Literature Review and Meta-Analysis. Journal of Affective Disorders, 284, 238–246. https://doi.org/10.1016/j.jad.2021.02.009
Varghese, S., Frey, B. N., Schneider, M. A., Kapczinski, F., & de Azevedo Cardoso, T. (2022). Functional and cognitive impairment in the first episode of depression: A systematic review. Acta Psychiatrica Scandinavica, 145(2), 156–185. https://doi.org/10.1111/acps.13385
Vicent-Gil, M., González-Simarro, S., Raventós, B., Vera, J., Marín Martínez, E. D., Sabaté-Cao, C., Pérez-Blanco, J., Puigdemont, D., de Diego-Adeliño, J., Alemany, C., Serra-Blasco, M., Cardoner, N., & Portella, M. J. (2022). Randomized clinical trial of integral cognitive remediation program for major depression (INCREM). Journal of Affective Disorders, 310, 189–197. https://doi.org/10.1016/j.jad.2022.05.016
Vicent-Gil, M., Raventós, B., Marín-Martínez, E. D., González-Simarro, S., Martínez-Arán, A., Bonnin, C. del M., … Portella, M. J. (2019). Testing the efficacy of INtegral Cognitive REMediation (INCREM) in major depressive disorder: study protocol for a randomized clinical trial. BMC Psychiatry, 19(1). doi:10.1186/s12888-019-2117-4
Waltman, S. H., Sokol, L., & Beck, A. T. (2017). Cognitive Behavior Therapy treatment fidelity in clinical trials: Review of recommendations. Current Psychiatry Reviews, 13(4), 311–315. https://doi.org/10.2174/1573400514666180109150208
Wang, G., Si, T. M., Li, L., Fang, Y., Wang, C. X., Wang, L. N., Tan, K., Ettrup, A., Eriksen, H. F., Luo, S., & Ge, L. (2019). Cognitive symptoms in major depressive disorder: associations with clinical and functional outcomes in a 6-month, non-interventional, prospective study in China. Neuropsychiatric disease and treatment, 15, 1723–1736. https://doi.org/10.2147/NDT.S195505
Winer, E. S., Jordan, D. G., & Collins, A. C. (2019). Conceptualizing anhedonia’s and implications for depression treatments. Psychology research and behavior management, 12, 325–335. https://doi.org/10.2147/PRBM.S159260
Woo, Y. S., Rosenblat, J. D., Kakar, R., Bahk, W.-M., & McIntyre, R. S. (2016). Cognitive Deficits as a Mediator of Poor Occupational Function in Remitted Major Depressive Disorder Patients. Clinical Psychopharmacology and Neuroscience, 14(1), 1–16. doi:10.9758/cpn.2016.14.1.1
Wood-Ross, C., Best, M. W., Milanovic, M. et al. (2021). Brain of Thrones: Cognitive Effort and Perceived Performance During a Cognitive Task in Major Depressive Disorder. Cogn Ther Res 45, 986–999. https://doi.org/10.1007/s10608-020-10145-w
Zhang, Y. J., Wang, H. Y., Yan, C., Wang, L. L., Cheung, E. F. C., & Chan, R. C. K. (2019). Working memory training can improve anhedonia in college students with subsyndromal depressive symptoms. PsyCh journal, 8(4), 401–410. https://doi.org/10.1002/pchj.271
Zuckerman, H., Pan, Z., Park, C., Brietzke, E., Musial, N., Shariq, A. S., Iacobucci, M., Yim, S. J., Lui, L., Rong, C., & McIntyre, R. S. (2018). Recognition and Treatment of Cognitive Dysfunction in Major Depressive Disorder. Frontiers in psychiatry, 9, 655. https://doi.org/10.3389/fpsyt.2018.00655‌
 
How to Cite: Khodabandeloo, Y., Sohrabi, F., Borjali, A., Isamorad, A., Motamedi, A. (2023). Development and Evaluation of a Group Psycho-Cognitive Remediation Intervention for Adults with Major Depressive Disorder, Journal of Clinical Psychology Studies, 13(49), 87-114.
 Clinical Psychology Studies is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
مطالعات روان‌شناسی بالینی
دوره 13، شماره 49 - شماره پیاپی 49
دی 1401
صفحه 88-113
فایل ها
هم رسانی
ارجاع به این مقاله
آمار